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General NPI Number Information
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NPI Number | 1033393376
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Entity Type | Organization
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Legal Business Name | MONICA OTERO MD PA
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Dates
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Enumeration Date | 12/21/2007
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 694 8TH ST N
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City | NAPLES
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State | FL
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Zip | 34102-5523
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Country | US
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Telephone | 239-403-3005
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8117
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City | NAPLES
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State | FL
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Zip | 34101-8117
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Country | US
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Telephone | 239-403-3005
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MONICA OTERO
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Credential | MD
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Telephone | 239-403-2005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME80921
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License Number State | FL
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